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s <br />~~ <br />'r _~ «`' °.' h~ (PAGE 2) +°-5 <br />MINE ID # OR PROSPECTING ID #: i~' ~ Z~= ~- ~ 3 - <br />INSPECTION DATE O .~ l O 1~l q ~-- <br />INSPECTOR'S INITIALS ~ S <br />OBSERVATIONS <br />V 0 <br />,~~ .VP,ots ~ /ā€ž~ ~/,~DES awe ~ -~ <br />7, ,S,v~t' ~,,¢ ,tee ,~ G ~e e ~ ~°O,Vā€ž_ ~ ~ ~,,t ~ ~ ā€ž~ ~ <br />~~e fit! ,,owe ~",.~ ,~~c:~?-Y.,,~7`.~:v~, t~.~',~.~~a.,...-~}.~-~1 <br />~-~~°~~ °z~ ~~_Iy a ..s-s'.c~,r~r ~ ,ti.,T,.~-e .moo -~, ,,L`~,-.. a~~~ ~c+,; ~~'~. <br /> <br />I & E Contact Address <br />NAME ,'ran~C R. ~anca/null ~ <br />OPERATOR Gf%H~taX ~a~V/'1 P,NUw. ~Dm~j'1~/ <br />STREET G~i'w~a;c CU 60TOZI} / <br />CC: <br />Carl ~o~h~ h?L,-QY~ <br />ITY/STATE/ZIP <br />9F <br />